醫療保險理賠實作指引
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: 醫療保險理賠實作指引-伺服端 - XML Representation

Active as of 2024-07-19

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<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="CapabilityStatementiClaimServer"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>實作指引版本:1.0.0</li><li>FHIR版本:4.0.1</li><li>支援格式:<code>json</code>、<code>xml</code></li><li>發佈日:2024-07-19</li><li>發佈者:國泰金控</li></ul><h3 id="shallIGs">必須(SHALL)支援以下實作指引</h3><ul><li><a href="index.html">醫療保險理賠實作指引</a></li></ul><h2 id="rest">Server的FHIR RESTful功能要求</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">模式:<code>server</code></h3></div><div class="panel-body"><div><p>醫療保險理賠實作指引-伺服端(Server)<b>必須(SHALL)</b>:<br/>(1)可透過FHIR RESTful API查詢、新增及刪除Resources<br/>(2)根據FHIR規範實作RESTful API<br/>(3)HTTP回傳狀態碼<br/>   ①(Status 2xx):請求成功<br/>   ②(Status 400):無效參數(invalid parameter)<br/>   ③(Status 401/4xx):未經授權的請求(unauthorized request)<br/>   ④(Status 403):未充分授權的資料存取範圍(insufficient premission scope)<br/>   ⑤(Status 404):未知的resource(unknown resource)<br/>(4)Server提供的API操作皆支援JSON格式<br/>(5)Server提供的API操作皆支援XML格式<br/>(6)可識別每個新增到Server的實例(instance)之meta.profile是否為醫療保險理賠 Profiles Defining URL,並確認實例是否依循Profile製作。<br/>【註:實例是指依據Profile實作,將真實資料以JSON、XML或Turtle格式存放的檔案】</p><p>安全性:<br/>(1)Server<b>必須(SHALL)</b>透過回傳 HTTP 401「未授權」, HTTP 403「禁止」,或 HTTP 404 「未找到」,來拒絕任何未經授權的請求。</p></div></div></div><h3 id="resourcesCap1">Resources或Profiles的RESTful功能</h3><h4 id="resourcesSummary1">Summary</h4><p>共有十二類Resources支援查詢,查詢參數如表列:</p><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource型別</b></th><th><b>Profile</b></th><th><b>Create</b></th><th><b>conditionalCreate</b></th><th><b>Update</b></th><th><b>conditionalUpdate</b></th><th><b>Read</b></th><th><b>VRead</b></th><th><b>Delete</b></th><th><b>支援的查詢參數</b></th></tr></thead><tbody><tr><td><a href="#Bundle1-1">Bundle</a></td><td><a href="StructureDefinition-bundle-iclaim.html">理賠用收據-診斷證明-檢驗紀錄(Bundle iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>_id, identifier</td></tr><tr><td><a href="#Composition1-2">Composition</a></td><td><a href="StructureDefinition-composition-iclaim.html">理賠用收據-診斷證明-檢驗紀錄(Composition iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>_id, patient, entry</td></tr><tr><td><a href="#Claim1-3">Claim</a></td><td><a href="StructureDefinition-claim-iclaim.html">理賠申請書(Claim iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#Condition1-4">Condition</a></td><td><a href="StructureDefinition-condition-iclaim.html">病情、問題或診斷(Condition iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#Coverage1-5">Coverage</a></td><td><a href="StructureDefinition-coverage-iclaim.html">保險(Coverage iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#DiagnosticReport1-6">DiagnosticReport</a></td><td><a href="StructureDefinition-diagnosticreport-iclaim.html">診斷報告(DiagnosticReport iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#Encounter1-7">Encounter</a></td><td><a href="StructureDefinition-encounter-iclaim.html">就醫事件(Encounter iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>identifier</td></tr><tr><td><a href="#Observation1-8">Observation</a></td><td><a href="StructureDefinition-observation-iclaim.html">檢驗檢查(Observation iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#Organization1-9">Organization</a></td><td>支援的Profiles<br/><a href="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore">臺灣核心-醫事機構(TW Core Organization Hospital Department)</a><br/><a href="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-co-twcore">臺灣核心-公司行號(TW Core Organization Company)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#Patient1-10">Patient</a></td><td><a href="StructureDefinition-patient-iclaim.html">病人資料(Patient iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>identifier</td></tr><tr><td><a href="#Practitioner1-11">Practitioner</a></td><td><a href="StructureDefinition-practitioner-iclaim.html">健康照護服務提供人員資料(Practitioner iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr><tr><td><a href="#PractitionerRole1-12">PractitionerRole</a></td><td><a href="StructureDefinition-practitionerrole-iclaim.html">健康照護服務提供者角色(PractitionerRole iClaim)</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">-</td><td>-</td></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="Bundle1-1" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Bundle</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-bundle-iclaim.html">理賠用收據-診斷證明-檢驗紀錄(Bundle iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/><div class="row"><div class="col-lg-12"><span class="lead">查詢參數</span><table class="table table-condensed table-hover"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Bundle-id.html">_id</a></td><td><code>token</code></td><td><code>GET [base]/Bundle?_id=[id]</code><br/><code>GET [base]/Bundle/[id]</code></td></tr><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Bundle-identifier.html">identifier</a></td><td><code>token</code></td><td><code>GET [base]/Bundle?identifier={system|}[code]</code></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Composition1-2" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Composition</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-composition-iclaim.html">理賠用收據-診斷證明-檢驗紀錄(Composition iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/><div class="row"><div class="col-lg-12"><span class="lead">查詢參數</span><table class="table table-condensed table-hover"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Composition-id.html">_id</a></td><td><code>token</code></td><td><code class="highlighter-rouge">GET [base]/Composition?_id=[id]</code>,<br/><code class="highlighter-rouge">GET [base]/Composition/[id]</code></td></tr><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Composition-patient.html">patient</a></td><td><code>reference</code></td><td><code class="highlighter-rouge">GET [base]/Composition?patient=[patient]</code>,<br/>實作請參考<a href="StructureDefinition-composition-iclaim.html#notes">Composition-Notes</a></td></tr><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Composition-entry.html">entry</a></td><td><code>reference</code></td><td><code class="highlighter-rouge">GET [base]/Composition?entry=[encounter]</code>,<br/>實作請參考<a href="StructureDefinition-composition-iclaim.html#notes">Composition-Notes</a></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Claim1-3" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Claim</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-claim-iclaim.html">理賠申請書(Claim iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Condition1-4" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Condition</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-condition-iclaim.html">病情、問題或診斷(Condition iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Coverage1-5" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Coverage</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-coverage-iclaim.html">保險(Coverage iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="DiagnosticReport1-6" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>DiagnosticReport</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-diagnosticreport-iclaim.html">診斷報告(DiagnosticReport iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Encounter1-7" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Encounter</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-encounter-iclaim.html">就醫事件(Encounter iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/><div class="row"><div class="col-lg-12"><span class="lead">查詢參數</span><table class="table table-condensed table-hover"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Encounter-identifier.html">identifier</a></td><td><code>token</code></td><td><code class="highlighter-rouge">GET [base]/Encounter?identifier=[identifier]</code>,<br/>實作請參考<a href="StructureDefinition-composition-iclaim.html#notes">Composition-Notes</a></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Observation1-8" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Observation</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-observation-iclaim.html">檢驗檢查(Observation iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Organization1-9" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Organization</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/organization.html">Organization</a></div><div class="col-lg-4"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">支援的Profiles</span><p><a href="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore">臺灣核心-醫事機構(TW Core Organization Hospital Department)</a><br/><a href="https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-co-twcore">臺灣核心-公司行號(TW Core Organization Company)</a></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Patient1-10" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Patient</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-patient-iclaim.html">病人資料(Patient iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalUpdate</a></code>,<code>read</code>.</li></ul></div></div><p/><div class="row"><div class="col-lg-12"><span class="lead">查詢參數</span><table class="table table-condensed table-hover"><thead><tr><th>遵從度</th><th>參數</th><th>類型</th><th>範例</th></tr></thead><tbody><tr><td><b>必須(SHALL)</b></td><td><a href="SearchParameter-Patient-identifier.html">identifier</a></td><td><code>token</code></td><td><code class="highlighter-rouge">GET [base]/Patient?identifier=[identifier]</code>,<br/>實作請參考<a href="StructureDefinition-composition-iclaim.html#notes">Composition-Notes</a></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Practitioner1-11" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>Practitioner</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-practitioner-iclaim.html">健康照護服務提供人員基本資料(Practitioner iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="PractitionerRole1-12" class="panel-title"><span style="float: right;">預期的遵從度: 必須(SHALL)</span>PractitionerRole</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Profile</span><br/><a href="StructureDefinition-practitionerrole-iclaim.html">健康照護服務提供者角色(PractitionerRole iClaim)</a></div><div class="col-lg-3"><span class="lead">Profile預期的遵從度</span><br/><b>必須(SHALL)</b></div><div class="col-lg-5"><span class="lead">支援的參照政策(Reference policy)</span><br/><code>resolves</code></div></div><p/><div class="row"><div class="col-lg-6"><span class="lead">能力摘要</span><br/><ul><li><strong>必須(SHALL)</strong>支援<code>create</code>,<code><a href="https://build.fhir.org/http.html#ccreate">conditionalCreate</a></code>,<code>update</code>,<code><a href="https://build.fhir.org/http.html#cond-update">conditionalUpdate</a></code>,<code>read</code>,<code>vread</code>.</li></ul></div></div><p/></div></div></div></div>
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